Form No. 91 - [See rule 296] - Limited Liability Partnership (Winding up and Dissolution) Rules, 2010

FORM NO. 91 [ See rule 296] Name of the LLP LLPIN Nature of the proceeding Date of commencement of winding-up Date of payment into the LLPs Liquidation Account I. Particulars of the unclaimed distributable sums paid into the LLPs Liquidation Account. Number on list of creditors Name of the creditor to whom the distributable sum is due Last known address of creditor Date of declaration and rate of distributable sum Total amount of distributable sum payable Last date when payable Amount paid into LLPs Liquidation account Remarks Date Rate 1 2 3 4 5 6 7 8 9 Total ..... II. Particulars of undistributed assets paid into the LLPs Liquidation Account. Number on list of partners Name of the partner Last known address of partner Date of declaration and rate of return Total amount of return payable Last date when payable Amount paid into LLPs Liquidation Account Remarks Date Rate 1 2 3 4 5 6 7 8 9 Total................ Total amount of unclaimed distributable sums paid into the LLPs Liquidation Account Rs. ..... Total amount of undistributed assets paid into the LLPs Liquidation Account Rs. ..... Total amount paid under both heads ............... Dated this.....day of.....20..... (Sd.) Liquidator or LLP Liquidator